Rushing,Stony_2019-Inactive-Cert.NORTH CAROLINA
STATE BOARD OF ELECTIONS
Certification of Inactive Status
This certification is used by Candidate, Party, PACs and Referendum Committees to declare their intent to be inactive,
which is not raising or spending any money on behalf of the campaign.
This Certification is filed at the Board of Elections office where the committee's campaign reports
are filed.
FILED BY:
Committee Name:
Treasurer Name:
Treasurer Address:
(include city, state, & zip)
Mjonr« Ne Ttl/I
Treasurer Phone: cik/) - 7 2� 3 % e7
I certify that the above named candidate/political committee intends to receive no contributions, nor make
any expenditures, until the committee resumes activity.
I understand that if the above circumstances change, it will be necessary for the person responsible for
filing financial disclosure reports to file an amended Statement of Organization and the Certification to
Return to Active Status form (CRO -3300) within ten days.
Date Signed Signature
CSL I]M�D
MAR 2 6 2019
Unio Co. Electionit
( RO-3100 (•rli/irntion of7naclive Slurus